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As our understanding of glucocorticoid-related metabolic dysregulation evolves, therapies targeting the underlying pathophysiological mechanisms offer significant advantages beyond glucose lowering alone

However, in chronic tendinopathy, its efficacy may be compromised due to persistent inflammation, tissue degeneration, fibrosis, and abnormal ECM composition, which can impede IGF-1 diffusion and diminish the responsiveness of tendon cells (Tang et al., 2024)

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Swirl gently, dont shake, and give it five to ten minutes to fully dissolve

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